| Ashton Therapeutics Llc | |
|
350 Southbridge St Mooresville IN 46158-2794 | |
| (206) 414-9022 | |
| Not Available |
| Full Name | Ashton Therapeutics Llc |
|---|---|
| Speciality | Social Worker |
| Location | 350 Southbridge St, Mooresville, Indiana |
| Authorized Official Name and Position | Ashley Nicole Ashton (PROVIDER) |
| Authorized Official Contact | 2065954319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashton Therapeutics Llc 350 Southbridge St Mooresville IN 46158-2794 Ph: (206) 414-9022 | Ashton Therapeutics Llc 350 Southbridge St Mooresville IN 46158-2794 Ph: (206) 414-9022 |
| NPI Number | 1780311233 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 09/06/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 5496124489 |
|---|---|
| Medicare Enrollment ID | O20221214001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780311233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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